Organization
STEP BY STEP EDU-PLAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S COX (OPERATIONS DIRECTOR)
(310) 581-0590
Entity
Organization
Contact information
Practice address
1412 14TH ST, SANTA MONICA, CA 90404-2704
(310) 339-9092
(310) 587-0020
Mailing address
1412 14TH ST, SANTA MONICA, CA 90404-2704
(310) 339-9092
(310) 597-0020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
BCBA 1-10-6879
CA
251S00000X
Community/Behavioral Health Agency
BCBA 1-13-14270
CA
251S00000X
Community/Behavioral Health Agency
MFT 52930
CA
251S00000X
Community/Behavioral Health Agency
MFT 77513
CA
252Y00000X
Early Intervention Provider Agency
Primary
44050
CA
Other
Enumeration date
04/05/2013
Last updated
05/27/2016
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